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. 2011 Winter;11(4):342-7.

Cardiac implantable electrical devices: bioethics and management issues near the end of life

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Cardiac implantable electrical devices: bioethics and management issues near the end of life

Freddy M Abi-Samra. Ochsner J. 2011 Winter.

Abstract

Cardiac implantable electrical devices (CIEDs) are extremely sophisticated modern devices that provide patients with many beneficial effects, including increased survival and enhanced quality of life. CIEDs, however, may complicate and unnecessarily prolong the process of dying from terminal illnesses. A rational plan for CIED deactivation near the end of life should therefore be carefully drawn up well in advance by the patient in concert with loved ones and treating physicians.

Keywords: Cardiac implantable electrical device; defibrillator; end of life; pacemaker.

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References

    1. Terri Schiavo dies, battle continues—US News. May 31, 2005. http://www.msnbc.msn.com/id/7293186/. Accessed September 20, 2011.
    1. Moss AJ, Hall WJ, Cannom DS, et al. Improved survival with an implanted defibrillator in patients with coronary disease at high risk for ventricular arrhythmia. Multicenter Automatic Defibrillator Implantation Trial Investigators. N Engl J Med. 1996 Dec 26;335(26):1933–1940. - PubMed
    1. Buxton AE, Lee KL, Fisher JD, Josephson ME, Prystowsky EN, Hafley G. A randomized study of the prevention of sudden death in patients with coronary artery disease. Multicenter Unsustained Tachycardia Trial Investigators. N Engl J Med. 1999 Dec 16;341(25):1882–1890. Erratum in: N Engl J Med. 2000 Apr 27;342(17):1300. - PubMed
    1. Moss AJ, Zareba W, Hall WJ, et al. Multicenter Automatic Defibrillator Implantation Trial II Investigators. Prophylactic implantation of a defibrillator in patients with myocardial infarction and reduced ejection fraction. N Engl J Med. 2002 Mar 21;346(12):877–883. - PubMed
    1. Greenberg H, Case RB, Moss AJ, Brown MW, Carroll ER, Andrews ML MADIT-II Investigators. Analysis of mortality events in the Multicenter Automatic Defibrillator Implantation Trial (MADIT-II) J Am Coll Cardiol. 2004 Apr 21;43(8):1459–1465. - PubMed

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